| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1821431032 | CARANDANG | ROSEMARIE | E | 4001 S DECATUR BLVD STE 25 | LAS VEGAS | NV | 891035857 | |
| 1629451315 | HAN | BRENT | 4001 S DECATUR BLVD STE 25 | LAS VEGAS | NV | 891035857 | ||
| 1326358763 | SANCHEZ | ILIA | T | 4001 S DECATUR BLVD STE 25 | LAS VEGAS | NV | 891035857 |